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Nebraska rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.66 / $910.66 / $5,287.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $15,538.48 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.01 / $1,485.51 / $1,993.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.80 / $2,246.15 / $2,996.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.66 / $1,865.92 / $9,855.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.20 / $1,979.16 / $7,507.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.21 / $2,441.07 / $5,542.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.00 / $1,932.25 / $2,683.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.59 / $1,910.54 / $2,352.23